Testicular exams are essential for men’s health, allowing for the early detection of conditions like testicular cancer. However, the need to have one’s genitals examined and handled can understandably make some men feel uncomfortable or embarrassed. Despite any potential awkwardness, getting over the fear of testicular exams is important. Here we’ll look at why these exams are needed, what happens during the procedure, tips for making it more comfortable, and why feeling awkward shouldn’t prevent you from getting this potentially lifesaving screening.
Why are testicular exams important?
Testicular exams serve a vital health purpose – allowing doctors to check for abnormalities or signs of disease in the testes. They are a key screening tool for detecting testicular cancer in its early stages. Testicular cancer is the most common cancer diagnosed in men ages 15 to 44. When caught early, it has a very high cure rate. Finding it quickly is crucial.
Doctors also use testicular exams to check for conditions like swollen testicles, lumps, hernias, and other testicular diseases. Catching any problems early on increases the chances of successful treatment. This is why major health organizations recommend self-exams monthly after puberty, and a testicular exam from a doctor during annual physicals. They are considered an essential part of preventative healthcare for men.
What is checked during the exam?
During a testicular exam, the doctor will visually inspect the scrotum before gently feeling the testicles, one at a time. They will check for any lumps, swelling, pain, or changes in size/shape/consistency of the testes. Often, they will ask you to cough while palpating the testicles, to check for hernias. They may also examine your abdomen, groin, and lower abdomen for masses. The exam only takes a few minutes.
You may find this uncomfortable due to having your private area touched and handled. But doctors are professionals who perform many such exams. They know it can feel awkward and do their best to be quick and clinical about the procedure. Try to focus on the medical necessity and remember – finding a serious condition early makes treatment much more likely to succeed.
Tips to make testicular exams less awkward
There are some things you can do before your appointment to help make the experience of a testicular exam less embarrassing:
Prepare mentally
– Remember that testicular exams are a normal, recommended medical procedure. There is no reason to feel ashamed about getting healthcare.
– Know that doctors are strictly clinical about exams. They aren’t judging you or thinking anything sexual. They just want to check that you are healthy.
– Focus on the important reason you’re getting the exam – taking care of your health and catching any problems early.
– Take slow deep breaths and try to relax. Being tense will only make it more uncomfortable.
Make sure you’re comfortable with your doctor
– Consider whether you want a male or female doctor to perform the exam. This is up to your personal preference.
– If you don’t have an established doctor, choose one you feel at ease with. You can briefly meet with them before committing.
– Ask if a nurse can be present during the exam if that would make you more comfortable.
– Speak up if you feel pain or severe discomfort during the exam. A good doctor will be gentle and stop if needed.
Prepare physically
– Shave/trim any pubic hair in the area beforehand for easier visual inspection.
– Shower before your appointment so the area is clean for the doctor.
– Wear loose underwear and pants so clothing doesn’t rub painfully on your genitals after the exam.
– Apply a topical pain relief cream to the scrotum about 30 minutes prior if you are especially nervous about discomfort.
Get support
– Confide in a friend or loved one. Talking through your concerns may help you feel less alone.
– Bring someone into the exam room with you for moral support if allowed.
– Remind yourself that the doctor has performed many such exams before. It’s routine medical care to them.
– Focus on the idea that the brief awkwardness is worth it for your health. Don’t let fear or embarrassment stop you from getting screened.
What happens during the exam
Knowing exactly what to expect during a testicular exam can help ease anxiety. Here are the typical steps:
Visual inspection
The doctor will first visually examine your scrotum while you are standing or lying down. They will look for any swelling, lumps, or changes in skin coloration. They may also check for signs of hernias in the groin area.
Feeling the testicles
The doctor will gently palpate each testicle between their fingers to feel for any lumps or irregularities. They may roll the testicles gently between their thumbs and fingers to check the entire surface. The doctor will also examine the epididymis, a cord-like structure along the back of each testicle where sperm matures.
Checking for hernias
While palpating the testicles, the doctor may ask you to cough or bear down. This allows them to check for hernias – bulges of intestinal tissues through weak areas of muscle in the groin. The abdominal pressure from coughing makes hernias more apparent.
Examining the penis
The doctor will do a brief inspection of the penis, mainly looking for any discharge, sores, or other abnormalities.
Checking the lower abdomen
The doctor may gently press on and examine your lower abdomen. They are checking mainly for abnormalities in organs like the bladder which could indicate blockages or other issues needing further testing.
What happens after the exam?
Once the brief exam is complete, you can get dressed. The doctor will let you know if they felt or saw anything concerning during the screening. If all seems normal, they will likely just remind you to keep up with monthly self-exams and yearly professional exams. It’s also wise to routinely check for any testicular or scrotal pain or lumps yourself in the shower.
If the doctor did find an abnormality, they may order imaging tests like an ultrasound for further evaluation. Based on those results, you may need blood work or a biopsy. Try not to worry too much at this stage – most lumps and other issues turn out to be non-cancerous. But it’s important to follow up with any recommended testing right away. Catching problems early is key.
Why you shouldn’t let awkwardness prevent your exam
No man finds the prospect of dropping their pants so a doctor can handle their private parts enjoyable. But ignoring screening out of embarrassment could be detrimental to your health. Here are reasons to overcome any awkward feelings and get the testicular exams you need:
Testicular cancer is highly curable if caught early
Testicular cancer has over a 95% cure rate if diagnosed in early stages. Once it spreads, that number drops significantly.Delaying screening allows tumors to silently progress. Getting past discomfort for a few minutes during an exam could literally save your life.
Self-exams aren’t enough
While self-exams are important for early detection between doctor’s visits, they aren’t foolproof. It’s hard to examine oneself as thoroughly as a doctor can. A professional exam every year catches many cancers that men could miss checking themselves.
Other conditions need treatment
Besides cancer, testicular exams detect issues like fluid buildup, swollen veins, testicular torsion, and tumors in the scrotum. Catching and addressing these conditions early prevents complications like infertility or tissue death. Even non-fatal problems are better treated early.
There’s no age limit for cancer
Testicular cancer peaks in the 20s and 30s. But it can occur at any age, even up to the 60s. Don’t assume you’ve outgrown the need for screening once you pass a certain age. Routine exams should continue for life.
Embarrassment fades, but regret doesn’t
A little short-lived awkwardness during an exam is a small price to pay for peace of mind. But avoiding such screenings can lead to lifelong regret if a serious issue goes undetected. Don’t prioritize embarrassment over your health and future.
Conclusion
Testicular exams will always involve some awkwardness – there’s no getting around having your private parts inspected and handled. But ultimately, any discomfort or embarrassment is insignificant compared to the consequences of missing early signs of cancer or other issues. Getting screened routinely can save your life and protect your future fertility and health. Just grit your teeth and get through the few brief minutes of awkwardness – it will be over quickly. Focus on the reasons you’re there and be proud you are taking care of your health. With the right mindset and preparation, you can get through testicular exams easily.